Actively Recruiting
Pilot Study of Low-intensity Focused Ultrasound Neuromodulation for Safety and Early Effectiveness in Adults with Drug-Resistant Temporal Lobe Epilepsy
Led by NaviFUS Corporation · Updated on 2026-04-09
8
Participants Needed
3
Research Sites
21 weeks
Total Duration
On this page
Sponsors
N
NaviFUS Corporation
Lead Sponsor
N
NaviFUS US LLC
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating the safety, tolerability, and initial effectiveness of low-intensity focused ultrasound LIFU neuromodulation using the NaviFUS System in patients with drug-resistant unilateral or bilateral temporal lobe epilepsy DR-TLE. This pilot study involves adults with epilepsy that has not responded to standard medications, aiming to reduce abnormal brain activity and seizures. Participants will undergo six LIFU treatment sessions over three consecutive weeks. Each treatment uses specific ultrasound exposure settings delivered by the NaviFUS System. Before treatment, patients will be observed and asked to keep a seizure diary for 8 weeks. After completing treatments, there is a 12-week follow-up period to monitor outcomes. Patients may continue their anti-seizure medications throughout the study. Participants will keep a seizure diary throughout the study to track seizure frequency and severity. Researchers will also assess safety by monitoring adverse events for up to 23 weeks. Additional evaluations include EEG scans to observe changes in brain activity, and questionnaires that measure anxiety, depression, and the personal impact of epilepsy. The total study duration includes a 2-month baseline, 3 weeks of treatment, and 12 weeks of follow-up.
CONDITIONS
Brief Title
A Safety, Tolerability, and Preliminary Efficacy of Low-intensity Focused Ultrasound Neuromodulation in Patients With Drug-resistant Epilepsy
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Male or female patients 18 years of age or older at the time of enrollment
- Diagnosed with drug-resistant temporal lobe epilepsy, defined by failure of adequate trials of two tolerated anti-epileptic drug schedules
- Have focal-onset seizures with no more than two seizure onset zones, at least one in the mesial temporal lobe
- Experienced at least 4 focal-onset seizures with disabling manifestations in the 8-week baseline and at least one seizure per month
- Have MRI and EEG within the past 3 years, with at least one EEG showing focal epileptiform findings
- Central focused ultrasound exposure region located at least 30 mm beneath the skull bone
- On stable anti-epileptic drug regimen for at least 30 days before enrollment
- Females of childbearing potential must test negative for pregnancy before first treatment and agree to effective contraception during the study
- Able and willing to have hair shaved where the treatment device will be applied
- Able to complete all study questionnaires in English, including with interpreter if needed
- Able to provide informed consent and comply with study requirements
You will not qualify if you...
- Primary generalized epilepsy, mixed focal and generalized epilepsy, or history of non-epileptic seizures
- Experienced tonic-clonic status epilepticus within 12 months before enrollment
- Sonication pathway blocked by scars, scalp disorders, metallic implants, or prior craniotomy
- Acute or progressive neurological disorders such as brain tumor, multiple sclerosis, dementia, or vascular lesions
- Implanted electronic devices like pacemakers, defibrillators, deep brain stimulation, except for stable Vagus Nerve Stimulators
- Severe depression, active suicidal behavior, active psychosis, or psychiatric hospitalization within past year
- IQ below 70 based on standardized intelligence testing
- Medical problems limiting study compliance or data interpretation
- Participation in other investigational drug or device studies within 4 weeks before treatment
- Radiofrequency thermocoagulation treatment within 2 months before enrollment
- History of substance or alcohol abuse within the past year (except marijuana)
- Pregnant or breastfeeding women
- Any other condition judged to increase risk or affect study endpoints by the Investigator
Research Team
S
Sheang-Tze Fung, Ph.D.
A
Arthur Lung, Ph.D.
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